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The bile duct is some 6–8 cm long, and normally up to 8 mm in diameter. [4]Its proximal supraduodenal part is situated within the free edge of the lesser omentum.Its middle retroduodenal part is oriented inferiorly and right-ward, and is situated posterior to the first part of the duodenum, and anterior to the inferior vena cava.
[4] Type VI: An isolated cyst of the cystic duct is an extremely rare lesion. Only single case reports are documented in the literature. The most accepted classification system of biliary cysts, the Todani classification, does not include this lesion. Cholecystectomy with cystic duct ligation near the common bile duct is curative. [5]
A thyroglossal cyst or thyroglossal duct cyst is a fibrous cyst that forms from a persistent thyroglossal duct. Thyroglossal cysts can be defined as an irregular neck mass or a lump which develops from cells and tissues left over after the formation of the thyroid gland during developmental stages.
[2] [4] It sometimes join the common hepatic duct at its anterior, posterior, or medial side [4] [3] (in the latter case by passing posteriorly around the common bile duct to join it from the other side). [2] It may spiral around the common hepatic duct before joining it. [4] Very rarely, the cystic duct opens into the duodenum. [3]
Long-standing infected thyroglossal duct cyst in a 29-year-old male patient. a Transverse greyscale ultrasound at midline, just above the level of the thyroid gland, shows an oval cystic lesion with internal echoes (white arrows) and posterior enhancement (arrowheads). b Transverse colour Doppler ultrasound shows surrounding peripheral flow ...
A surgically created passage between the common bile duct and the jejunum in a procedure called a choledochojejunostomy, can be carried out to relieve the symptoms of biliary obstruction as well as allows the bile duct to drain. [5] In infants with biliary atresia, hepatoportoenterostomy is an alternative method of providing bile drainage.